Oddi A, Di Nicola V, Panzini A, Berni A, Lucci S, Greco L, Urciuoli P, Custureri F
Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1996 Nov-Dec;17(11-12):620-3.
Iatrogenic bile duct injury during cholecystectomy is the most serious complication of this surgical procedure. Initial reports suggest that this complication is particularly problematic during laparoscopic cholecystectomy. Proper identification of biliary anatomy in the subhepatic region is the only way to avoid this severe complication. The potential benefit from a simple, reliable method for intraoperative delineation of biliary anatomy is self-evident. In this experimental work the Authors-study the possibility and the feasibility of intraoperative biliary tree imaging with two fluorescent molecules (rolitetracyclin and fluorescin).
胆囊切除术中医源性胆管损伤是该外科手术最严重的并发症。初步报告表明,这种并发症在腹腔镜胆囊切除术中尤其成问题。正确识别肝下区域的胆管解剖结构是避免这种严重并发症的唯一方法。一种简单、可靠的术中胆管解剖结构描绘方法的潜在益处不言而喻。在这项实验工作中,作者研究了使用两种荧光分子(罗利环素和荧光素)进行术中胆管树成像的可能性和可行性。